Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RYAN HARTLEY DMD PLLC

NPI: 1497592414 · KENTWOOD, MI 49508 · Dental Clinic/Center · NPI assigned 07/09/2024

$3K
Total Medicaid Paid
75
Total Claims
75
Beneficiaries
2
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHARTLEY, RYAN (OWNER)
NPI Enumeration Date07/09/2024

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 75 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 47 47 $2K
D1208 Topical application of fluoride, excluding varnish 28 28 $599.23